• Korean Journal of Head & Neck Oncology
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• v.33 no.2
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• pp.17-22
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• 2017

Background and Objectives: Voice change after thyroidectomy may develop without injury of recurrent laryngeal nerve. Psychogenic or emotional factors related to voice change after thyroidectomy has been rarely studied. In this study, we sought to analyze the impact of anxiety on early state of post-thyroidectomy voice change. Materials and Methods: We made a retrospective chart review of 36 patients who underwent thyroidectomy for papillary thyroid carcinoma and voice exam before surgery, 2 weeks after and 1 month after surgery. All patients included in the study answered a questionnaire for State-Trait Anxiety Inventory ; STAI-KYZ (form Korean YZ). Clinico-pathologic factors and parameters of voice analysis were reviewed to analyze correlation to the anxiety index. Results: No differences were identified between clinicopathologic factors and preoperative parameters of voice analysis between patients with higher and lower level of anxiety. Noise to harmonic ratio (NHR) was higher in those patients with higher level of anxiety, 2 weeks after surgery (p=0.043). However, none of the parameters showed any difference 1 month later. Conclusion: With limited number of patients and short period of follow up, significant impact of preoperative anxiety on postoperative voice change after thyroidectomy could not be identified in this preliminary study.

• Phonetics and Speech Sciences
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• v.2 no.2
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• pp.117-121
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• 2010

The This study aimed to evaluate the effects of the voice therapy we operated to the patients with age-related dysphonia. Thirty four participants who were diagnosed as age-related dysphonia in laryngoscopic finding from January, 2009 to December, 2009 completed the study. The participants were aged from 60 to 82 years old with a mean age of 70.6. All participants had received the abdominal breath technique, SKHPIP with laughter, and basic vocal training with description of their problem, the length of which ranged from four sessions to twelve sessions. We executed the videostroboscopy to compare the aspect of voicing change and the perceptual assessment, voice range profile, acoustic and aerodynamic measures to identify change of voice. Participants had glottal gap due to incomplete glottic closure during voicing on the pretest. After they took the voice therapy, the glottic gap became narrow and rough and breathy voice was reduced. There were significant difference in acoustic and aerodynamic measures. Jitter, Shimmer, MFR were reduced and MPT, Psub were increased(p<.05). Participants' pitch range and intensity range were increased on the posttest performance after taking voice therapy. Especially, most of them were showed that pitch range was increased significantly in high frequency area. The results of this investigation indicate that the voice therapy using abdominal breath, SKHPIP, and exercise together is effective for the patients who have age-related dysphonia to improve their voice quality. We recommend to apply this technique to functional voice disorders who are showed glottal gap.

• 제어로봇시스템학회:학술대회논문집
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• 2005.06a
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• pp.2362-2367
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• 2005

This paper reports a technique for discriminating double talk and echo path change using the stochastic characteristics of power change for an adaptive noise canceller. The causes of rapid error increasing are double talk and echo path change. When the echo path is changed, the system corrects the impulse response in order to reduce the error. However, in the case of double talk, the system has to suspend the updating impulse response in order to maintain the quality of the voice signal. In the conventional system, it was difficult to discriminate between the two situations. In this research, the stochastic characteristics of the voice power change in the double talk period were experimentally verified to be different from the power change during echo path changing. Based on the results, a new double talk detection method is proposed.

• Speech Sciences
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• v.15 no.2
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• pp.145-156
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• 2008

The purpose of this study was to investigate the reason why puberphonia patients revisit hospitals after completion of its treatment and the effect of visual voice therapy on voice improvement. The subject the study included are two puberphonia patients who had been diagnosed by laryngologists. The patients who were diagnosed as puberphonia by the laryngologist and treated by the a speech pathologist, completed their treatment and revisited hospital. The study used laryngoscopy, acoustic and aerodynamic analysis before and after voice treatment to investigate what change happens and why generalization of treatment effect did not occur naturally in the daily life. Their voices of pre-therapy and post-therapy were analyzed on the aspects of acoustics, aerodynamics and laryngeal endoscopy. As a result, it was found that fundamental frequency(Fo) was significantly lowered in respect of acoustic change and maximum phonation time(MPT) was increased to some extent in respect of aerodynamic change. In addition, there was a laryngoscopic change and commissure glottic chink disappeared generally in the phonation. The reason why the generalization did not occur naturally in one’s daily routine was mainly due to the fact that high-pitched voicing was used for a long time. Other than that reason, negative reaction or attitude of surrounding people and lack of confidence were to blame for failure of generalization.

• Phonetics and Speech Sciences
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• v.13 no.2
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• pp.9-17
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• 2021

Voice onset time (VOT) is known to be a primary acoustic cue that differentiates voiced from voiceless stops in the world's languages. While much attention has been given to the sound change of Korean stops, little attention has been given to that of English stops. This study examines VOT of stop consonants as produced by English speakers in comparison to Korean speakers to see whether there is any VOT change for English stops and how the effects of stop, place, gender, and individual on VOT differ cross-linguistically. A total of 24 native speakers (11 Americans and 13 Koreans) participated in this experiment. The results showed that, for Korean, the VOT merger of lax and aspirated stops was replicated, and, for English, voiced stops became initially devoiced and voiceless stops became heavily aspirated. English voiceless stops became longer in VOT than Korean counterparts. The results suggest that, similar to Korean stops, English stops may also undergo a sound change. Since it is the first study to be revealed, more convincing evidence is necessary.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.12 no.1
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• pp.11-16
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• 2001

Background and Objectives : A burn injury to the glottis differs from a burn injury to the trachea, bronchi, and lung parenchyma, in that thermal injury does not occur to any significant degree below the level of the larynx, due to the effective cooling of air by the upper airway and to reflex closure of the vocal cords from a blast of hot air. Therefore, the laryngeal inhalation injury give rise to airway problem and voice change. The objectives of this study is to assess management of laryngeal inhalation injury and voice change after management. Materials and Methods : Voice choses and laryngeal injuries of eight laryngeal inhalation patients were analyzed through questionnaire, voice dynamic laboratory, and laryngeal stroboscopy. Operative management was performed to five patients for airway patiency and vocal cord movement on laryngeal pathology ind voice therapy was performed to all patients. One-year after, voice changes and laryngeal injuries were reanalyzed with same methods. Results : Vocal breathiness, decreased voice intensity, reduced voice range, and easy fatigability were major complaints of laryngeal inhalation patients. Glottic stenosis were developed to five of eight patients, and vocal cord atrophy, bowing were developed to others. Vocal cord mucosal waves were significantly decreased in all patients. Jitter(%), Shimmer(dB) were increased and Maximal phonation time(MPT) was decreased. One-year after, subjective voice changes and objective voice parameters were improved. And vocal cord mucosal waves were recovered in all patients. Conclusions : Subjective voice quality and objective voice parameters were improved after operative management for laryngeal pathology and voice therapy. And we observed recovery of vocal fold mucosal waves by laryngeal stroboscopy. We think that early preventable tracheotomy is necessary to reduce the laryngeal contact injury in laryngeal inhalation patients.

• The KIPS Transactions:PartB
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• v.11B no.4
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• pp.517-526
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• 2004

In this paper, we implemented practical application service using VoiceXML. Developers can utilize the advantages of using VoiceXML such as reducing development time and sharing contents between applications. Up to now, speech related services were developed using APIs and programming languages such as C/C++ or exclusive developing tools, which methods depend on system architectures. For this reasons, reuse of contents and resources was very difficult. If developers want to change scenarios of the application services or change platforms, they have to edit and recompile their program sources. To solve these problems, nowadays, companies develop their applications using VoiceXML. But, there's poor grip of actual problems can be occurred when they use VoiceXML. To overcome these problems, we implemented stock trading system using VoiceXML. We found out problems which occurred during developing services. We proposed solutions to these problems And, we analyzed strong points and weak points of applications using suggested system.

• Phonetics and Speech Sciences
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• v.9 no.4
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• pp.99-106
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• 2017

Clinical data about vocal nodules have seldom been reported, even though vocal nodules are commonly diagnosed in outpatient speech and voice clinic. This study aims to investigate clinical characteristics of the patients who are diagnosed with vocal nodules. This study analyzed the data for 10 years from the 319 patients diagnosed with vocal nodules (45 males and 274 females with the mean age of 39.4 ranging from 2 to 83) in terms of gender, age, occupation, voice change initiation pattern, change with time, throat clearing, smoking history, type of voice abuse, acoustic analysis, maximum phonation time, GRBAS, and VHI. Thirteen patients (4.08%) had unilateral vocal nodule and 306 patients (95.9%) had bilateral vocal nodule, the majority of which had a pattern of asymmetry (73.9%). The glottal closure pattern was hourglass in 72.1% of patients, posterior chink in 17.9% of patients, and irregular in 7.9% of patients. The most common occupational category was professional voice users (43.4%). The voice abuse pattern included excessive talking in 96 patients (76.8%), loud voice in 78 (62.4%) patients, and excessive singing in 17 patients (21.6%). The patients showed worse scores in G, B, and S than in R and A for the GRBAS evaluation. The most recommended treatment for vocal nodules was voice therapy. The current clinical data will be helpful for treatment planning for the patients of vocal nodule.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.19 no.2
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• pp.142-145
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• 2008

Background and Object: The aim of this study is to evaluate the change of patient's subjective voice handicap index (VHI) and acoustic parameters before and after laryngeal microsurgery for benign vocal cord disease. Materials and Method: We analyzed 78 patients who received laryngeal microsurgery for benign vocal cord disease from January 2004 to February 2007 retrospectively. There were 28 vocal polyp, 40 vocal nodule, 5 intracordal cyst and 5 Reinke's edema. Jitter, shimmer, harmony to noise ratio (HNR) were analyzed before surgery and 2-3months after surgery using the Doctor's speech science program. The voice handicap index introduced by the Pittsburgh Voice Center was used to examine patient's subjective change of voice quality. Results: Acoustic parameters of jitter, shimmer and HNR were improved in patients with vocal polyp and vocal nodule after surgery. The acoustic parameters were not improved in patients with Reinke's edema, statistically. Only jitter was improved significantly in patients with intracordal cyst (p<0.05). The VHI was significantly improved after surgery. The change of jitter and shimmer was significantly correlated with the change of VHI after surgery. Conclusion: The acoustic parameters and VHI were significantly improved in patients with benign vocal disease after laryngeal microsurgery.

• MALSORI
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• no.51
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• pp.1-16
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• 2004

The aim of this paper is to analyze vowels in voice imitation and disguised voice, and to find the invariable phonetic features of the speaker. In this paper we examined the formants of monophthongs /a, u, i, o, {$\omega},{\;}{\varepsilon},{\;}{\Lambda}$/. The results of the present are as follows : $\circled1$ Speakers change their vocal tract features. $\circled2$ Vowels /a, ${\varepsilon}$, i/ appear to be proper for speaker recognition since they show invariable acoustic feature during voice modulation. $\circled3$ F1 does not change easily compared to higher formants. $\circled4$ F3-F2 appears to be constituent for a speaker identification in vowel /a/ and /$\varepsilon$/, and F4-F2 in vowel /i/. $\circled5$ Resulting of F-ratio, differences of each formants were more useful than individual formant of a vowel to speaker recognition.